Reconstruction for severe hammer toe deformity with dislocation of metatarsophalangeal joint. A and B, Clinical appearance and planned operative incision. C, Radiographic evaluation of dislocation. D, After resection of proximal phalanx, dorsal capsulotomy at metatarsophalangeal joint, and extensor tendon lengthening. E, Resection of distal portion of metatarsal head. F, Plantar condylectomy of metatarsal head. G, Antegrade pinning through proximal interphalangeal joint with 0.045-inch Kirschner wire. H, Retrograde pinning through proximal phalanx across metatarsophalangeal joint. I, Postoperative appearance. SEE TECHNIQUE 84.11.